"Be attentive! What to see? Yang Ping scolded.

Director Wu immediately cheered up again, he didn't look at anything, he just wanted to stare at the probe, and don't be suddenly beaten by that thing again.

The speed of the operation was too fast, and Director Wu couldn't keep up with the rhythm when he raised his hand, and he was scolded from time to time.

He really regretted going on stage and wanted to find a reason to slip away, such as an upset stomach.

But if he does this, Jiang Baicheng will think that he is too childish and will not take his operation seriously.

I had to hold back, swallow the broken front teeth into my stomach, and continue to help pull the operated limb.

He wanted to say if he could rest for a while, Yang Ping focused on the operation, and those boys were all buried in the tendons, and no one paid attention to him.

Forget it, I can only hope that the surgery will be completed soon.

"Old Wu, take a break? It's hard to pull it. Yang Ping looked back at this time, and Director Wu's expression was painful.

Director Wu immediately let go of his hand and took the opportunity to ask: "It's hard, it's a little unbearable, let's change someone?" ”

He wanted to help weave the tendons, or simply sit aside and rest, just on the stage.

Yang Ping Zhengse said: "Lao Wu, the difficulty of this operation is too high, traction must be an experienced assistant to understand the key points of the main knife at any time, so as to create the best vision for the main knife, they can't, not enough experience, otherwise it won't be hard for you, or, let's rest for a while and then do it?" ”

In the operating room, everyone was fascinated by the operation, and several deputy high-level orthopedics also came in one after another, and no one drove them out anyway, just pay attention to the concept of sterility.

Yang Ping spoke loudly, Jiang Baicheng heard it, and the people lying on the operating table were most concerned about whether their operation went smoothly.

"Director Wu, thank you for your hard work." Jiang Baicheng shouted under the cloth sheet.

The fat man leaned over: "What did you say?" ”

Jiang Baicheng repeated.

The fat man raised his head and relayed to Director Wu: "Director Wu, Mr. Jiang said that he has worked hard for you." ”

"Don't worry, Director Wu is on stage, and he personally cooperates with Dr. Yang."

"Thank you! Thank you! ”

Originally, Director Wu also wanted to find an opportunity to slip away and get a free seat on the stage, but Jiang Baicheng was worried that he would not be the assistant and affect the operation.

At this time, you have to quit halfway, it's not appropriate!

Isn't it just a matter of a few hours?

If you don't have a thick skin, can you achieve great things? Director Wu gave up the idea of finding someone to replace.

"Lao Wu, I see that your face is not good, if you are really unwell, you go down to rest, just a few of us, don't worry!" Yang Ping said with great concern, following the stern judgment on the stage.

Director Wu had no way to retreat, and said, "It's okay, let's continue!" ”

The operation continued, and Director Wu moved his arm to continue the traction.

Laparoscopic surgery is an epoch-making technique, and complex surgeries can be completed with a few small holes.

More than 200 years ago, Botzini, an Austrian doctor, had the idea of making two tubes to insert into the bladder from the patient's urethra, one tube to channel the light of the candle into the bladder, and he peeked into the structure inside the bladder from the other tube.

This awesome man did not expect that these two tubes would open an era for future generations, the era of minimally invasive laparoscopic surgery.

The doctor who pioneered orthopedic arthroscopy was Professor Kenji Takagi of the University of Tokyo, Japan, that is, Japan is the birthplace of arthroscopic technology.

Professor Kenji Takagi used cystoscopy to explore a patient with knee tuberculosis, and since then, he and his students have invented the first truly clinically practical arthroscopy.

Acromion is completed, no more, no less, which is equivalent to reshaping the acromion, moving the shoulder joint, and there is no impact at all.

Subsequent Bankart injury and SLAP injury repair, reconstruction of glenohumeral ligament rupture, treatment of labral tear, capsular plication, and descending of the greater tuberosity of the humerus.

A series of complicated surgeries, not to mention that the doctors present were dazzled, even Su Nanchen was dazzled.

He was amazed by Yang Ping's superb skills, and every complex problem came to his hands, which seemed extremely simple, and this ability to simplify the complex required strong theoretical and surgical ability to support.

He was also amazed at his sister's ability to match the table, usually in his eyes, this squeamish and favored little sister is now the best instrument nurse he has ever seen.

Seeing that now, there has not been a single instrument delivery error, not even if the time is a little faster or slower, they have not said a word, not even a single eye contact, but they have achieved the most perfect cooperation.

Su Nanchen was very puzzled, what did they rely on to communicate, how could they cooperate so tacitly, did they rely on consciousness communication?

The difficulty of this surgery is that each individual operation needs to be coordinated with the completed and uncompleted surgeries to become an organic union.

The best coordination of repair or reconstruction is entirely based on experience, and the most sophisticated machines cannot help doctors to grasp this complex coordination.

The secret of multi-ligament reconstruction of the knee joint lies in balance, because the most important feature of the lower limb joint is stability.

The biggest feature of the shoulder joint is flexibility, which is a higher level than the requirements of balance, and balance alone is not enough, but it is necessary to cooperate with each other.

The requirements of this kind of operation are like that of a clever chef, the heat, the amount of oil and salt, the proportion of various ingredients, the timing of entering the pot, and the timing of leaving the pot, all of which are based on rich and delicate experience, which cannot be done by a graduated cylinder and a balance.

Surgeons also need to master a wealth of perceptual knowledge, which depends on the accumulation of experience, and there is no other shortcut.

For the synergy of these structures, first-class professors will also ponder repeatedly, hesitate in the balance of tension, and it is difficult to grasp the coordination of movements, because it is too difficult.

There are more and more people in the operating room, everyone is very conscious, keep a distance from the operating table, and have professional quality.

When they look at this operation, it is like watching acrobatics, and in their eyes, many things that cannot be done, the chief surgeon can easily do it.

Arthroscopic surgery is much better than artificial joint replacement because of the continuous saline irrigation, so that the surgical area is always highly clean.

"Don't move! Can't hold on to a single operation? ”

With a snap, I don't know what instrument, it seems to be a probe, flashed, and hit the fifth metacarpal bone, the first to fourth metacarpal bones have all been beaten, and the hand has trembled involuntarily.

This guy, when he was resting, was polite, and when he started the operation, he didn't recognize his six relatives, and his style was extremely simple and rude.

The most difficult part of the capsular plication begins, the technique seems simple, but it is very difficult to achieve the goal.

"Don't shake your hands! The key steps of surgery, if there is a little mistake, will affect the effect of the operation. ”

Yang Ping's voice was a bit loud and clear.

This kind of joint capsule relaxation, relying on the plasma knife to shrink can no longer achieve the purpose, can only rely on joint capsular plication.

Yang Ping removed the old scar from the anterior and lower joint capsule rupture, which is a place frequented by habitual dislocations.

This breach needs to be repaired, but Yang Ping has no intention of repairing it.

There was an associate chief physician who was good at arthroscopy and looked at it and couldn't understand it.

When he was studying, he saw that the big guy did this kind of surgery, all of which were to repair the tear, and sometimes he had to take other fascial tissues to make up for it.

As for the joint capsule folding, it's all rough to get it, and I don't know what the effect is.

The glenohumeral ligament has been reconstructed, and Yang Ping used PDS threads to pinch and fold and wrinkle sutures, and several places that need to be folded are in a very tricky position, but they did not stump him.

The conventional pinch-folding wrinkling technique in Yang Ping's hands burst out of a magical effect, this kind of folding is simply a work of art, a few folds are done, the relaxation of the joint capsule is eliminated, and the original break is naturally eliminated, and everyone does not know how he did it.

The hole in the joint capsule does not need to be repaired, only a suture is required.

The next step is to move the greater nodule down and return to its original correct position.

This patient had previously had a severe anterior shoulder dislocation and a fracture of the large tuberosity, which eventually healed on its own, but the position of the large tubercle moved upward, causing not only impingement, but also relaxation of the attached muscles.

The periosteal is carefully opened to create a potential cavity on the surface of the greater tubercle to create a working space for the arthroscopy, which is fixed by two hollow screws.

Finally, the rotator cuff tear was repaired with a double row of suture bridges, and the steps of the operation were arranged scientifically and skillfully, one by one.

In the end, all the reconstructed and restored structures are synergized with each other, forming an organic whole.

"The operation is not over yet, can you show some professionalism?"

After the five metacarpal bones were beaten, the probe hit the radial styloid process and ulnar styloid process, and the entire superficial bone of the hand and wrist was beaten again.

Every time he beats, Director Wu doesn't dare to pull his hand, and if he pulls his hand, it will seriously affect the operation progress, and everyone who sees it will feel a pain in their hearts.

Oops, Director Wu, who is usually awesome, is embarrassed today!

It's okay, damn, don't talk about eating alone, don't even withhold the night shift pay, say what the doctor is voluntary, has a selfless dedication, and voluntarily does not receive the night shift pay.

Whoever volunteered, none of them signed, and they didn't know about it, but the little money he earned at the risk of sudden death was used to pave the way for his own position.

Inhumanity, a few more hits.

Several young doctors scolded in their hearts, usually they don't dare to be angry, but now someone is helping them to vent their anger, and they don't say anything, and they feel happy in their hearts.

Several deputy high-level people looked at this scene and felt funny, every time the probe appeared, Director Wu's body trembled involuntarily, and he was phobic.

Director Fu was on the side, and he didn't dare to speak out, and the director himself didn't say that he was a subordinate, what did he do.

The operation was over, less than an hour before and after, including a halftime break.

"Good work, old Wu!"

Yang Ping watched him rub his hands.

Yang Ping pulled out the mirror, put away the instruments, and handed them to the nurse.

One of the probes, Director Wu saw that thing and subconsciously avoided it.

"What's wrong?" Yang Ping fiddled with the probe a few times.

Director Wu tilted his body, for fear that the probe would hit again, and smiled bitterly: "Little--Teacher Yang, this thing hurts a lot!" ”

"You say this?"

Yang Ping lit up the probe in his hand.

Director Wu nodded, his eyes frightened.

"Good equipment, what are you doing with him?"

Yang Ping handed the probe to Xiao Su.